| NPI | 1700429453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01007600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 23346) |
| 363L00000X Nurse Practitioner (Licence: GA RN290790) | |
| 363L00000X Nurse Practitioner (Licence: FL 11006645) | |
| 363L00000X Nurse Practitioner (Licence: CA 95014690) | |
| 363L00000X Nurse Practitioner (Licence: WA 61059866) | |
| 363L00000X Nurse Practitioner (Licence: MD AC003168) | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2020-11-01 |